Individual
JEPHTER TEBID MBAWEI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3831 PENNSYLVANIA AVE SE, WASHINGTON, DC 20020-1309
(202) 575-1000
Mailing address
3831 PENNSYLVANIA AVE SE, WASHINGTON, DC 20020-1309
(202) 575-1000
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
175T00000X
Peer Specialist
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
04/04/2023
Last updated
12/19/2025
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